Dr. Dale M. Leonhardt DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

30-01-4604 Issued in OH

Legal business name

DR. DALE M. LEONHARDT DDS INC

Practice address

585 West Exchange Street
Akron, OH 44302

Phone

(330) 762-8606

Fax

(330) 762-5554

NPI assigned

Jun 20, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dale Michael Leonhardt, D.D.S.

Title

Dentist/President

Phone

(330) 762-8606

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1952697815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 WEST EXCHANGE STREET",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44302",
            "telephone_number": "330-762-8606",
            "fax_number": "330-762-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 WEST EXCHANGE STREET",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44302",
            "telephone_number": "330-762-8606",
            "fax_number": "330-762-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DALE M. LEONHARDT DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "LEONHARDT",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "330-762-8606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-01-4604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0262433",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.